From end user to provider: making sense of becoming a peer support worker using interpretative phenomenological analysis

Dyble, Gemma; Tickle, Anna; Collinson, Christine

doi:10.1108/jpmh-03-2013-0016

Cited by 18 publications

(19 citation statements)

References 18 publications

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“…However, research suggests some difficulties for peer workers in either retaining a separate and valued identity as service users, or taking on the identity of "professional" (Dyble, Tickle, & Collinson, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…There is a relatively new category of service users in recovery employed as "peer support workers" in mental health services (Perkins, Rinaldi, & Hardisty, 2010), which arguably carves out a special and positive role for these service users, valued for their ability to understand the experiences of other service users and to act as mentors in the recovery journey. However, research suggests some difficulties for peer workers in either retaining a separate and valued identity as service users, or taking on the identity of "professional" (Dyble, Tickle, & Collinson, 2014).…”

Section: Introductionmentioning

confidence: 99%

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How Do “Mental Health Professionals” Who Are Also or Have Been “Mental Health Service Users” Construct Their Identities?

2016

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Abstract"Mental health professionals" are increasingly speaking out about their own experiences of using mental health services. However, research suggests that they face identity-related dilemmas because social conventions tend to assume two distinct identities: "professionals" as relatively socially powerful and "patients" as comparatively powerless. The aim of this study was, through discourse analysis, to explore how "mental health professionals" with "mental health service user" experience "construct" their identity. Discourse analysis views identity as fluid and continually renegotiated in social contexts. Ten participants were interviewed, and the interviews were transcribed and analyzed. Participants constructed their identity variously, including as separate "professional" and "patient" identities, switching between these in relation to different contexts, suggesting "unintegrated" identities. Participants also demonstrated personally valued "integrated" identities in relation to some professional contexts. Implications for clinical practice and future research are explored. Positive identity discourses that integrate experiences as a service user and a professional included "personhood" and insider "activist," drawing in turn on discourses of "personal recovery," "lived experience," and "use of self." These integrated identities can potentially be foregrounded to contribute to realizing the social value of service user and other lived experience in mental health workers, and highlighting positive and hopeful perspectives on mental distress.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How Do “Mental Health Professionals” Who Are Also or Have Been “Mental Health Service Users” Construct Their Identities?

2016

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“…The word "peer" in the job title necessarily discloses that an individual has used mental health services and/or experienced mental distress. While this makes a strong statement about the validity of lived experience, it also removes choice and control from the individual (Moran et al, 2013;Dyble et al, 2014) and as such can act as a barrier to taking on the role.…”

mentioning

confidence: 99%

Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services

Gillard

Foster

Gibson

et al. 2017

MHSI

127

110

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Purpose Peer support is increasingly being introduced into mainstream mental health services internationally. The distinctiveness of peer support, compared to other mental health support, has been linked to values underpinning peer support. Evidence suggests that there are challenges to maintaining those values in the context of highly standardised organisational environments. The purpose of this paper is to describe a “principles-based” approach to developing and evaluating a new peer worker role in mental health services. Design/methodology/approach A set of peer support values was generated through systematic review of research about one-to-one peer support, and a second set produced by a UK National Expert Panel of people sharing, leading or researching peer support from a lived experience perspective. Value sets were integrated by the research team – including researchers working from a lived experience perspective – to produce a principles framework for developing and evaluating new peer worker roles. Findings Five principles referred in detail to: relationships based on shared lived experience; reciprocity and mutuality; validating experiential knowledge; leadership, choice and control; discovering strengths and making connections. Supporting the diversity of lived experience that people bring to peer support applied across principles. Research limitations/implications The principles framework underpinned development of a handbook for a new peer worker role, and informed a fidelity index designed to measure the extent to which peer support values are maintained in practice. Given the diversity of peer support, the authors caution against prescriptive frameworks that might “codify” peer support and note that lived experience should be central to shaping and leading evaluation of peer support. Originality/value This paper adds to the literature on peer support in mental health by describing a systematic approach to understanding how principles and values underpin peer worker roles in the context of mental health services. This paper informs an innovative, principles-based approach to developing a handbook and fidelity index for a randomised controlled trial. Lived experiences of mental distress brought to the research by members of the research team and the expert advisors shaped the way this research was undertaken.

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“…Many services now have peer-employees: peers who are hired into mental health positions (Solomon, 2004). The role is complex, as peer support workers hold multiple identities, which must be negotiated both by them (Dyble et al, 2014) and those they support (Bailie et al, 2016). Evidence suggests employment as a peer support worker can be both facilitative and detrimental to personal recovery, although the quality and extent of research is limited (Bailie and Tickle, 2015).…”

Section: Originality / Valuementioning

confidence: 99%

“…Many services now have peer-employees: peers who are hired into mental health positions (Solomon, 2004). The role is complex, as peer support workers hold multiple identities, which must be negotiated both by them (Dyble et al, 2014) and those they support (Bailie et al, 2016). However, a systematic review of peer-support for individuals with "severe mental illness" reported a moderate degree of effectiveness, including improvements in service-user empowerment, self-advocacy, hopefulness, engagement and relationships with providers, as well as reduced inpatient admissions (Chinman et al, 2014).…”

Section: Peer-supportmentioning

confidence: 99%

Perceptions of wellness recovery action plan (WRAP) training: a systematic review and metasynthesis

Canacott

Tickle

Moghaddam

2020

MHRJ

Self Cite

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Purpose The purpose of this systematic review was to address two questions: what is the qualitative evidence for the effects of the Wellness Recovery Action Plan (WRAP) training, as perceived by adults with mental health difficulties using it? What is the quality of qualitative literature evaluating WRAP? Design/methodology/approach Five electronic reference databases and the EThOS database for unpublished research were systematically searched, as well as two pertinent journals. Study quality was assessed using Critical Appraisal Skills Programme criteria and results analysed using thematic synthesis. Findings Of 73 studies, 12 qualitative papers met inclusion criteria and were generally good quality. Analyses demonstrated expected findings, such as increased understanding and active management of mental health in the context of group processes. Results also highlighted that WRAP training promoted acceptance and improved communication with professionals. Peer delivery of WRAP was highly valued, with contrasting perceptions of peers and professionals evident. Some cultural considerations were raised by participants from ethnic minorities. Research limitations/implications WRAP training participation has positive self-perceived effects beyond those captured by measures of recovery. Broader implications are suggested regarding earlier access to WRAP, professional support and communication between professionals and service users. Recommendations for further research include the relationship between social support and illness self-management and peer-delivered acceptance-based approaches. Multiple time-point qualitative studies could offer insights into WRAP training processes and whether changes are sustained. Originality/value As the first review of qualitative evidence regarding WRAP training, value is offered both through increased understanding of outcomes and also guidance for future research.

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From end user to provider: making sense of becoming a peer support worker using interpretative phenomenological analysis

Cited by 18 publications

References 18 publications

How Do “Mental Health Professionals” Who Are Also or Have Been “Mental Health Service Users” Construct Their Identities?

How Do “Mental Health Professionals” Who Are Also or Have Been “Mental Health Service Users” Construct Their Identities?

Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services

Perceptions of wellness recovery action plan (WRAP) training: a systematic review and metasynthesis

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